Michael Hernandez

NPI #1417666918 in Shelley, Idaho

Provider Information

NPI Number
1417666918
Entity Type
Individual
Name
Michael Hernandez
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Nov 23, 2022
Last Updated
Nov 23, 2022

Practice Location

Address
121 S BYRON AVE
State
Idaho
ZIP Code
83274-1209
Phone
(208) 881-3072

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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